摘要
目的 探讨血管腔内技术治疗下腔静脉综合征的疗效。方法 2002年6月~2004年11月对17例下腔静脉综合征进行下腔静脉腔内扩张、腔内支架植入术,术后常规抗凝治疗。结果 下腔静脉压力梯度从治疗前(16.8±4.3)mmHg下降到治疗后(2.6±0.6)mm Hg(t=13.280,P=0.001)。IVCS症状评分从治疗前(4.4±1.6)分下降到治疗后(2.1±1.7)分(t=6.880,P=0.010)。下肢肿胀、阴囊或外阴浮肿、腹水和全身浮肿于术后1~4 d后减轻。结论 血管腔内技术治疗下腔静脉综合征疗效可靠。
Objective To investigate the curative effect of endovascular treatment for inferior vena cava syndrome (IVCS). Methods A total of 17 cases of inferior vena cava syndrome was treated by endovascular dilatation and self-expandable metallic stent placement between June 2002 and November 2004. Routine anticoagulation therapy was given after the procedure. Results The pressure gradient across the inferior vena cava was reduced from 16.8 ±4.3 mmHg preoperatively to 2.6 ± 0.6 mmHg postoperatively ( t = 13. 280, P = 0. 001 ). The IVCS symptom scores were decreased from 4.4 ± 1.6 preoperatively to 2.1 ± 1.7 postoperatively ( t = 6. 880, P =0.010). Symptoms of edema on lower limbs, scrotal or pubic dropsy, ascites, and anasarca subsided at 1 -4 days after procedure. Conclusions Endovascular treatment of inferior vena cava syndrome is effective and reliable.
出处
《中国微创外科杂志》
CSCD
2007年第7期601-603,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
下腔静脉综合征
腔内治疗
Inferior vena cava syndrome
Endovascular treatment